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The Evolution of Information Sharing

NHCAA has released a new issue brief titled "What the Data Reveals: The Evolution of Information Sharing in the Fight Against Health Care Fraud," that offers a bit of history of the role that information sharing has played in NHCAA's development and in the anti-fraud profession, followed by a glimpse of where it's headed next. The paper examines the recent development of the Healthcare Fraud Prevention Partnership (HFPP).

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Make Your Resume Work For You

By posting your resume on NHCAA Career Connection you’re reaching hundreds of health care anti-fraud employers – publicly or confidentially. Want more control? Activate the job agent and have select jobs come to you.

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NHCAA Comments on Medicare Data Use Proposed Rule

CMS recently issued a proposed rule to implement changes to the Qualified Entity Program, established by the ACA and expanded by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The rule would allow qualified entities (which are certified by CMS to access Medicare, Medicaid and CHIP claims data to conduct combined analyses with other claims data) to provide or sell data and analyses to “authorized users.” Health insurers would be considered authorized users under the health i...

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NHCAA Comments on Proposed Medicaid Managed Care Rule

NHCAA has submitted a letter of comment in response to CMS publishing on June 1, a long-awaited proposed rule that aims to overhaul regulatory oversight of Medicaid managed care. Our comments focus on medical loss ratio and compliance program requirements.

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